Get Questionnaire On Adjustment Form

The Questionnaire On Adjustment Form is a crucial document used to assess pension rights during the dissolution of a marriage. Completing this form online ensures efficiency and accuracy in submitting your information regarding entitlements.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin filling out your personal details. Include your family name, first names (with your preferred name underlined), name at birth, nationality, date of birth, place of birth, and gender. Provide your current profession and contact information, including your address and daytime phone number.
3. Indicate whether you have reached an agreement for pension rights adjustment with your spouse by selecting 'Yes' or 'No.' If applicable, be sure to attach a copy of any agreements.
4. Answer whether you are entitled to benefits under the statutory pension scheme. If 'Yes', specify the name of your pension insurance fund and enter your pension insurance number, if applicable.
5. List your current and previous employment since your marriage. For each position held, provide the period of employment, the employer's name and address, and state if you have been granted benefits under a company pension scheme.
6. If applicable, indicate whether you have taken out a private pension insurance policy. List the policies and provide details such as the name of the insurance company, policy number, and address for each policy. Use additional sheets if necessary.
7. Answer if you are receiving disability benefits. If 'Yes', provide the name of the insurance company, policy number, and address.
8. Indicate whether you have been a public servant and are therefore entitled to benefits under a supplementary pension scheme. Provide necessary details if applicable.
9. Specify if you are or have ever been a public officer or judge. Include the name of the pension fund and any relevant identification numbers.
10. Confirm if you are entitled to benefits under an occupational pension scheme and provide the corresponding fund details.
11. Review your responses for accuracy. Finally, sign and date the document to affirm that the information provided is true and complete. You can save changes, download, print, or share the completed form as needed.

Complete the Questionnaire On Adjustment Form online to ensure your pension rights are accurately assessed.